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Facilitating Health-Promoting Self-Care in Older Adults: A Theory Synthesis. 促进老年人的健康自理:理论综述。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-10-01 DOI: 10.1177/08943184241269962
Kathryn Sabo, Susan Hunter Revell

The authors describe the development of a model that focuses on how primary care providers can facilitate health promotion in older adults. The health-promoting self-care in older adults (HPSOA) model was developed through a synthesis of key concepts from the Health Promotion model and the Modeling Role Modeling Theory. Walker and Avant's strategy for theory synthesis was used in its development. The model prioritizes rapport building to foster a trusting patient-provider relationship and focuses on long-term solutions to health promotion. Further model use through testing, research, and application in practice is recommended.

作者介绍了一个模型的开发过程,该模型的重点是初级保健提供者如何促进老年人的健康。老年人健康促进自我护理模式(HPSOA)是综合了健康促进模式和模范角色塑造理论中的关键概念而开发出来的。在开发过程中采用了 Walker 和 Avant 的理论综合策略。该模型优先考虑建立融洽的关系,以促进患者与医疗服务提供者之间的信任关系,并侧重于健康促进的长期解决方案。建议通过测试、研究和在实践中的应用来进一步使用该模型。
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引用次数: 0
Bliss and Peace of Connecting-Separating. 连接-分离的幸福与安宁。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-10-01 DOI: 10.1177/08943184241269934
Karen Carroll

The author of this article considers the topic of bliss and peace that arises in connecting-separating with persons, with others, with ideas, and even with events. Amid the ever-increasing fast-paced communication, considering connecting-separating from a humanbecoming perspective serves as an approach that honors paradoxical patterns expressed by persons and families.

这篇文章的作者思考了在与人、与他人、与思想、甚至与事件分离中产生的幸福与和平的话题。在日益增长的快节奏通信中,从人性的角度考虑连接-分离是一种尊重个人和家庭表达的矛盾模式的方法。
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引用次数: 0
Heuristic Research in Nursing Science. 护理科学中的启发式研究。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247281
Howard K Butcher

The purpose of this article is to reintroduce and describe the processes and phases of heuristic inquiry and to illustrate how the method can advance nursing science. Heuristic inquiry is a rigorous, systematic, phenomenologically orientated research method developed by Clark Moustakas for investigating, discovering, and understanding the nature and meaning of living experiences. Heuristic inquiry invites the inclusion of the researcher's autobiographical living of experience being investigated honoring the personal experiences of the phenomenon from self and each participant in the research study. The author proposes that heuristic inquiry be used in nursing science by including a theoretical interpretive process connecting the thematic essences of the nursing conceptual framework guiding the study. Nursing theory-guided heuristic research advances the study of caring for persons experiencing human-environmental-health transitions to enhance human betterment and wellbecoming.

本文旨在重新介绍和描述启发式探究的过程和阶段,并说明该方法如何推动护理科学的发展。启发式探究是克拉克-穆斯塔卡斯(Clark Moustakas)提出的一种严谨、系统、以现象学为导向的研究方法,用于调查、发现和理解生活经验的本质和意义。启发式探究将研究者的自传体生活经验纳入调查,尊重自我和每个参与研究者的个人现象经验。作者建议在护理科学中使用启发式探究,将理论解释过程与指导研究的护理概念框架的主题精髓联系起来。护理理论指导下的启发式研究推动了对经历人类-环境-健康转变的人的护理研究,以促进人类的进步和福祉。
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引用次数: 0
Heuristics, Community Change Concepts, and Health Policy: Coming to Know. 启发式、社区变革概念和卫生政策:了解。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247004
Mario R Ortiz

The purpose of this paper is to discuss heuristics, guided by Parse's (2021a) community model, to understand how health policies emerge from the unique values and beliefs of community constituents. Within this paper, there is a discussion about heuristics, health policy, Parse's humanbecoming paradigm, and policy implications reflected upon with the change concepts of the humanbecoming community model.

本文旨在讨论以 Parse(2021a)的社区模式为指导的启发式方法,以了解卫生政策是如何从社区成员的独特价值观和信仰中产生的。本文将讨论启发式方法、卫生政策、Parse 的 "向人类迈进 "范式,以及通过 "向人类迈进 "社区模式的变化概念反思政策影响。
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引用次数: 0
Applying Comfort Theory to Improve Outcomes for People in Sickle Cell Crisis. 应用舒适理论改善镰状细胞危机患者的治疗效果。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247080
Julie Kientz Elting, Danielle Di Cesare, Jenee Layne, Marla Murthy, Orest Mysyuk

When people with sickle cell disease in vaso-occlusive crisis need hospitalization, they often experience fragmented and disparate treatment. Racial, gender, and socioeconomic treatment bias by providers, including nurses, is complicated by the current reactionary United States (US) controlled substance policies. To provide high-quality and respectful care, nurses can use Kolcaba's Comfort Theory as the framework for a holistic plan to assess, deliver individualized interventions, and evaluate outcomes for people experiencing vaso-occlusive crisis. Once in the electronic medical record, it can guide care during future hospitalizations. By refocusing on the nursing value of providing comfort care to individuals in distress, nurses can change treatment outcomes for clients.

当镰状细胞病患者出现血管闭塞性危象需要住院治疗时,他们往往会受到零散和不平等的对待。包括护士在内的医疗服务提供者在种族、性别和社会经济方面的治疗偏见,因当前美国反动的管制药物政策而变得更加复杂。为了提供高质量且受人尊重的护理,护士可以将科尔卡巴的 "舒适理论 "作为整体计划的框架,对血管闭塞性危机患者进行评估、提供个性化干预并评估结果。一旦录入电子病历,它就能在未来住院期间指导护理工作。通过重新关注为处于困境中的患者提供舒适护理的护理价值,护士可以改变患者的治疗效果。
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引用次数: 0
The World of Women's Despair: An Unfolding Unitary Conceptual Journey. 妇女绝望的世界:不断发展的统一概念之旅。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241246982
Mary R Morrow, W Richard Cowling

In looking back over 3 decades since the development of his interest in developing a unitary conceptualization of despair, nurse scholar W. Richard Cowling, III, had new insights and revelations. The purpose of this dialogue article is to re-envision this journey as one of unfolding, seen with the gift of new eyes. Revisiting this journey allowed him to understand and appreciate it anew. Horizons of possibilities of this conceptual journey are explained in terms of conceptual-theoretical development, inquiry, and the advancement of discipline-specific knowledge, and improving the lives of women in despair. It is his sincere hope, as with all meaningful scholarly endeavors, that a wider discourse occurs with the persistent inclusion of women's voices and experiences.

护士学者理查德-考林三世(W. Richard Cowling, III)回顾了他对绝望的统一概念化产生兴趣以来的三十多年,他有了新的见解和启示。这篇对话文章的目的是重新认识这一历程,将其视为一个以新的视角看待的不断发展的历程。重温这段旅程让他重新理解和欣赏这段旅程。他从概念-理论发展、探究、学科知识的进步以及改善绝望妇女的生活等方面阐述了这一概念之旅的可能性。他衷心希望,正如所有有意义的学术研究一样,通过坚持不懈地吸纳妇女的声音和经验,开展更广泛的讨论。
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引用次数: 0
Benefits of the Modified Version of the Illness-Wellness Continuum Model for Nurse Education. 修改版疾病-健康连续性模型对护士教育的益处。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247016
Shu-Yi Wang, Ellyn E Matthews

With rapid advancements in sciences and the expanding scope of nursing practice, faculty are challenged to connect the experiences of learners with abstract concepts of science and to cultivate clinical reasoning skills. Rationale for the adoption of the illness-wellness continuum model includes the following: (a) the relationships among illness, health, and the nursing process are relevant in many health situations, and (b) levels of wellness are steeped in holistic principles of self-care, which are consistent with educational and clinical goals. The modified version of the illness-wellness continuum model can serve as the groundwork that prepares nursing students in a constantly changing workplace.

随着科学的快速发展和护理实践范围的不断扩大,教师们面临着将学习者的经验与抽象的科学概念联系起来并培养临床推理能力的挑战。采用疾病-健康连续体模式的理由包括以下几点:(a) 疾病、健康和护理过程之间的关系与许多健康状况息息相关;(b) 健康的水平蕴含着自我保健的整体原则,与教育和临床目标相一致。修改后的疾病-健康连续体模式可作为基础,帮助护理专业学生在不断变化的工作环境中做好准备。
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引用次数: 0
From Faith to Global Understanding. 从信仰到全球理解
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247015
Steven L Baumann

This is an introduction to a manuscript by the faculty and the Dean of the California Baptist University on their International Service Project (ISP) and Academic Service-Learning project.

本文是加州浸会大学教师和院长关于其国际服务项目(ISP)和学术服务学习项目手稿的介绍。
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引用次数: 0
Moral Distress as Moral Heuristic Missing the Mark. 作为道德启发式的道德苦恼失之毫厘,差之千里。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241247003
Pamela G Reed

I propose that moral distress may function as a moral heuristic, and one that misses its mark in signifying a fundamental source for nurses' moral suffering. Epistemic injustice is an insidious workplace wrongdoing that is glossed over or avoided in explicit explanations for nurse moral suffering and is substituted by an emphasis on the nurse's own wrongdoing. I discuss reasons and evidence for considering moral distress as a moral heuristic that obfuscates the role of epistemic injustice as a fundamental constraint on nurses' moral reasoning underlying moral suffering.

我认为,精神痛苦可能是一种道德启发式,而这种启发式并没有指明护士精神痛苦的根本原因。认识论上的不公正是一种隐蔽的工作场所错误行为,在对护士道德痛苦的明确解释中被掩盖或回避,取而代之的是对护士自身错误行为的强调。我讨论了将精神痛苦视为一种道德启发式的原因和证据,这种启发式掩盖了认识论不公正作为护士道德推理的基本制约因素在精神痛苦中所起的作用。
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引用次数: 0
More Thoughts About Culture as a Metaparadigm Concept: Rejection of the Reality of Subcultures. 关于文化作为元概念的更多思考:拒绝亚文化的现实性。
IF 1.1 4区 医学 Q3 NURSING Pub Date : 2024-07-01 DOI: 10.1177/08943184241246986
Maria W O'Rourke, Jacqueline Fawcett

This essay is an extension of a previous essay in which culture was identified as a distinct concept of our disciplinary metaparadigm. Here, we define subculture and discuss our rationale for rejection of the reality of subcultures.

本文是上一篇文章的延伸,在这篇文章中,文化被确定为我们学科元模式中的一个独特概念。在此,我们将定义亚文化,并讨论我们拒绝亚文化现实的理由。
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引用次数: 0
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Nursing Science Quarterly
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